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Associations of residential greenness with lung function and chronic obstructive pulmonary disease in China.

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单位： [a]School of Public Health, Key Lab of Public Health Safety of the Ministry of Education, NHC Key Lab of Health Technology Assessment, Fudan University, Shanghai, China [b]National Center for Respiratory Medicine & National Clinical Research Center for Respiratory Diseases, Beijing, China [c]Institute of Respiratory Medicine, Chinese Academy of Medical Sciences, Beijing, China [d]Center of Respiratory Medicine, China-Japan Friendship Hospital, Beijing, China [e]Institute of Clinical Medical Sciences, China-Japan Friendship Hospital, Beijing, China [f]Department of Pulmonary and Critical Care Medicine, Center of Respiratory Medicine, China-Japan Friendship Hospital, Beijing, China [g]Shanxi Dayi Hospital, Taiyuan, Shanxi, China [h]The First Affiliated Hospital of Xi’an Jiaotong University, Xi’an, Shaanxi, China [i]Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, Hubei, China [j]Guizhou Provincial People’s Hospital, Guiyang, Guizhou, China [k]Zhongshan Hospital, Fudan University, Shanghai, China [l]The First Hospital of China Medical University, Shenyang, Liaoning, China [m]State Key Laboratory of Respiratory Disease, Guangzhou Institute of Respiratory Diseases, The First Affiliated Hospital, Guangzhou Medical University, Guangzhou, Guangdong, China [n]National Clinical Research Center for Respiratory Diseases, Guangzhou, Guangdong, China [o]The Second Affiliated Hospital of Zhejiang University, School of Medicine, Hangzhou, Zhejiang, China [p]State Key Laboratory of Biotherapy of China and Department of Respiratory and Critical Care Medicine, West China Hospital of Sichuan University, Chengdu, Sichuan, China [q]Beijing Key Laboratory of Respiratory and Pulmonary Circulation Disorders, Beijing Chao-Yang Hospital, Capital Medical University, Beijing, China [r]Department of Pulmonary and Critical Care Medicine, Beijing Chao-Yang Hospital, Capital Medical University, Beijing, China [s]Peking University Third Hospital, Beijing, China [t]Department of Respiratory and Critical Care Medicine, Beijing Hospital, Beijing, China [u]National Center of Gerontology, Beijing, China [v]Institute of Basic Medical Sciences, Chinese Academy of Medical Sciences, School of Basic Medicine, Peking Union Medical College, Beijing, China [w]Department of Pathology, Beijing Hospital, Beijing, China [x]Center for Clinical Epidemiology and Evidence-based Medicine, Beijing Children’s Hospital, Capital Medical University, National Center for Children’s Health, Beijing, China [y]WHO Collaborating Center for Tobacco Cessation and Respiratory Diseases Prevention, Beijing, China [z]Tobacco Medicine and Tobacco Cessation Center, Center of Respiratory Medicine, China-Japan Friendship Hospital, Beijing, China [aa]Department of Stomatology, Beijing Chao-Yang Hospital, Capital Medical University, Beijing, China [ab]Department of Respiratory Medicine, Capital Medical University, Beijing, China [ac]Department of Epidemiology, Beijing Chao-Yang Hospital, Capital Medical University, Beijing, China

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Studies on the association of greenness with respiratory health are scarce in developing countries, and previous studies in China have focused on only one or two indicators of lung function.The study aims to evaluate the associations of residential greenness with full-spectrum lung function indicators and prevalence of chronic obstructive pulmonary disease (COPD).This nationwide cross-sectional survey included 50,991 participants from the China Pulmonary Health study. Lung function indicators included four categories: indicators of obstructive ventilatory dysfunction (FEV1, FVC and FEV1/FVC); an indicator of large-airway dysfunction (PEF); indicators of small-airway dysfunction (FEF25-75% and FEV3/FEV6); and other indicators. Residential greenness was assessed by the Normalized Difference Vegetation Index (NDVI). Multivariable linear regression models and logistic regression models were used to analyze associations of greenness with lung function and COPD prevalence.Within the 500 m buffer, an interquartile range (IQR) increase in NDVI was associated with higher FEV1 (24.76 mL), FVC (16.52 mL), FEV1/FVC (0.38), FEF50% (56.34 mL/s), FEF75% (33.43 mL/s), FEF25-75% (60.73 mL/s), FEV3 (18.59 mL), and FEV6 (21.85 mL). However, NDVI was associated with lower PEF. In addition, NDVI was significantly associated with 10% lower odds of COPD. The stratified analyses found that the associations were only significant in middle-young people, females, and nonsmokers. The associations were influenced by geographic regions.Residential greenness was associated with better lung function and lower odds of COPD in China. These findings provide a scientific basis for healthy community planning.Copyright © 2022 Elsevier Inc. All rights reserved.

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出版当年[2021]版：

大类 | 2 区环境科学与生态学

小类 | 2 区环境科学 2 区公共卫生、环境卫生与职业卫生

最新[2025]版：

大类 | 2 区环境科学与生态学

小类 | 2 区环境科学 2 区公共卫生、环境卫生与职业卫生

JCR分区：

出版当年[2020]版：

Q1 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Q1 ENVIRONMENTAL SCIENCES

最新[2023]版：

Q1 ENVIRONMENTAL SCIENCES Q1 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH

影响因子： 7.7 最新[2023版] 7.5 最新五年平均 6.498 出版当年[2020版] 6.824 出版当年五年平均 5.715 出版前一年[2019版] 8.431 出版后一年[2021版]

第一作者：

第一作者单位： [a]School of Public Health, Key Lab of Public Health Safety of the Ministry of Education, NHC Key Lab of Health Technology Assessment, Fudan University, Shanghai, China

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通讯机构： [a]School of Public Health, Key Lab of Public Health Safety of the Ministry of Education, NHC Key Lab of Health Technology Assessment, Fudan University, Shanghai, China [b]National Center for Respiratory Medicine & National Clinical Research Center for Respiratory Diseases, Beijing, China [c]Institute of Respiratory Medicine, Chinese Academy of Medical Sciences, Beijing, China [f]Department of Pulmonary and Critical Care Medicine, Center of Respiratory Medicine, China-Japan Friendship Hospital, Beijing, China [y]WHO Collaborating Center for Tobacco Cessation and Respiratory Diseases Prevention, Beijing, China [ab]Department of Respiratory Medicine, Capital Medical University, Beijing, China [*1]Department of Environmental Health, School of Public Health, Fudan University, Shanghai, 200032, China. [*2]Department of Pulmonary and Critical Care Medicine, Center of Respiratory Medicine, China-Japan Friendship Hospital, Beijing, China. [*3]Department of Pulmonary and Critical Care Medicine, Center of Respiratory Medicine, China-Japan Friendship Hospital, Beijing, China.

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